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HomeMy WebLinkAbout14894 (17)- - CITYOF DIAMOND BAR DEPARTRTIdENT OF COMMUNITY &DEVELOPMENT SERVICES L-021660 DATE CONST. GROUP E. Copley Drive Suite 190 PRESS PEAR ❑ (909) 860.3195 Fax (909) 861-3117 SIDE ❑ PROPOSEDUSE BUILDING PERMIT APPLICATION FIRMLY JOBSITE ADDRESS APN - - LOT TRACT OWNER J. B, [..2 Vm;j QIP"% . ADDRESS 2.3ff21 41 Qvl spenlue V&, CITY 9F Av21,j Id. Qa-t zip?/,7b5 TEL 961-6933 APPLICANT TEL CONTRACTOR ADDRESS CITY ! e ZIP 2LZ-1-5 TEL ARCHlENG1 DESIGNER ADDRESS CITY ZIP TEL, OWNER -BUILDER DECLARATION I HERESY AFFIPM IRDER PENALTY OF RERAIRY 1LUT I AM E%EMPT FRCA THE CONTMCTOr55 LL CENSE UW iCq THE FOl1OWING REASON ISECTmI.F BUSNE59AIW PROFESSKNS COOE:ANY DITY00. 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TM ACERTTFCATE OF CONSENT TOSELFINSURE FOR WOAKERT OOAIPENSATDN.AS PROVDED BY SECTION S/ODOFWE LABOR CCDE FOA THE PERFORMANCE OFWAEMAKPORWHICHT05PEP mK139UEL. _IHAVEANDNTLL =C.WGitlfERS'ER A MSAtKNNSURlNCE.ASREOUIREDIS SE ff MS DG THELABOR S' PORTAE PERFORMANCEOF TIERMD fORYMICHTHIS M. f3 149UE0. MYNORKEAS' OCMPEN9AION NSURANCE CARRIER AND POLICY NWBERARE: GAMIER POLICY NUMBER ' (r163EKTCNNLEDNOTBECAtlETDOiTE PEPMT s PORCNEHJTAnED7alAF5 RIBL'laiLNs51 ICERTPYTUTLATHE PERFORAUHMOFTIE MAX FORWATCHTHIS PEP TIS ISSUEDA SHALLNOTEMMWY PERSONNANYMANNERSOMMSEC ESUBIECTTO THE WORKERSCOMP MEN'A OFDTI PIA,ANDAGREETUTff I7MOFBECOME 6UBJECTTO 7HE YIDRNERS' CdAPENSATKN PIgYI5KNN5 OF SECTION t]0a OF ME LABOR CDDE,I SHALL FORTiW'IT/OOIAPLY YATN TAOSE PROWSKINS. I{ DATE: APPLICANT: 1 WAWNNO:FA REMSEWREWOHKERS'COMPENSATKkICOVERAGEI5UNLAWFIA,AND3NALLSE SUBACTAN EMPLOYERTO CRIMNALP TIES AND CMLFNESUP TOMEHUARED TAOUSANO DOU.AR9 (SIM.Wi. N AODITDNTOTSE COSTOF COMPENSATKN. 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AREANALUATION SFFVADDIREM - GaraperCarport W PatiolDeck LL PmVSpa ZReRoal CGmmerclal m ValGallon ADJ.AREA - - OUANTITY DESCRIPTION - FEE M 2 2. �O < Xe V!a 4 a W w; .-i 0 VV "op A d w i 1 N 2 C DO J a Q Q 4 W ! Ll O W�w" CONSTRUCTION LP"•I PLANREVIEW y ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE SMTP ENERGY PIC ENERGY PERMIT - RETENTION FEE: PRE-ALTFEE: - 101) TOTAL FEES COMMENTS RECPT. NO. PAID BY VAUDATK) '— - WHITE—Department Copy. YELLOW---Flnalltg COPY, PINK—MMES x Copy, GOLDENROD—Fills Copy, GREEN—ApplCant'a Copy - ©y.. c SETBACK V CITY OF DIAMOND. BAR INSPECTION RECORD" imire FLOOR JOIST e FTGS/FORMSISTEEL FHA REOMTS ELECTRIC GROUND----, _ _.""' _ UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT. SLAB GRADE - FIREPCAC F<SUNDATION',. t'`1., • S'• "'-: t+. r ,t TEMP POWER-- - ' FIREPLACE BOND BEAM WATER"SERVICE .- _ _ -_: MID HT. BOND BEAM ROOFSHEATHING' .__._. :.... -- 8FT. Wj'yVBEAM' FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER'.. " PRE -GRADING -ROUGH HEATING- - -_ _ - . - _ . -_ BENCHING 'ROUGH ELECTRIC- ! =' ''' ' = -ROUGH GRADING ROUGH PLUMBING _..._ _.____.. __ .-- - FINISH GRADING., _ SHOWER/TU8 TEST '" - POOL ELECTRIC EXT-LATH/SIDING - . POOL FENCING WALL INSULATION POOL FINAL' CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. _SEPTIC TANK._ _ _ _- -_ _ LANDSCAPE/IRRIG., SEEP PIT/L.L. _ _ -- : ON SITE IMPS. -GA$AIRTEST' _:_ ,_;; . -- r FINALZONING FINAL`CONST .. -_l_ ; ._, :r ' ` : t FIRE DEPT. FINAL FI NAL HEATING _ ' ''"'„ :' FINAL ELECTRIC "' `' ': HEALTH DEPT. FINAL r' —` DEV. FEES PAID - -.; '• FINAL PLUMBING t ., ,,. ENERGY COMMENTS -- is , SEPTIC TANK SIZE SEEP PIT/U. SIZE 1y ,